Wixom Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WIXOM DENTAL

Practice address

49175 Pontiac TRL
Wixom, MI 48393-2580

Phone

(248) 859-5300

NPI assigned

Apr 8, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hussein Berry, DMD

Title

Dentist

Phone

(248) 859-5300

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohamed Ali Hussein, DMD

  • Public Health Dentistry
  • Wixom, MI
  • NPI 1225926363
  NPD
• Krystal Thalia Salhuana, DDS

  • General Practice Dentistry
  • Taylor, MI
  • NPI 1790412740
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1821730920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49175 PONTIAC TRL",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932580",
            "telephone_number": "248-859-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49175 PONTIAC TRL",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932580",
            "telephone_number": "248-859-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIXOM DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-859-5300",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Christopher Weller, D.C.
• Lila Wiaduck, LLMSW
• Clarhonda Williamson, LLMSW
• Nicole Winters
• Laura Wisniewski, LMSW
• Leeanna Jean Wolf
• Julianne Elizabeth Young, LMSW
• Zelenak Eye Institute PLLC

• Dental Clinic/Center in Wixom, MI
• Providers in Wixom, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.